The impact of medicaid managed care on community c... Catalogue en ligne

Titre :	The impact of medicaid managed care on community clinics in Sacramento County, California. (1999)
Auteurs :	C.C. KORENBROT ; J. GREENE ; G. MILLER ; Institute for Health Policy Studies and the Department of Obstetrics. Gynecology and Reproductive Sciences. School of Medicine. University of California. San Francisco. USA
Type de document :	Article
Dans :	American journal of public health (vol. 89, n° 6, 1999)
Pagination :	913-917
Langues:	Anglais
Mots-clés :	Etats Unis ; Amérique ; Evaluation ; Homme ; Etat santé ; Facteur socioéconomique ; Pauvreté ; Utilisation ; Utilisation service ; Soins intégrés ; Programme santé ; Assurance maladie ; Amérique du Nord
Résumé :	[BDSP. Notice produite par INIST R0x5i9e6. Diffusion soumise à autorisation]. Objectives. The purpose of this study was to determine the impact of countywide Medicald managed care on service use at community clinics, Methods. Clinic use before and after introduction of Medicald plans in one county was compated with that in a group of comparable countres without such plans. Results. There were significant declines of 40% of 45% in the volumes of Medicald clients, encounters, and revemtes at clinics with the introduction of Medicald plans Declines of 23% in uninsured clients and encounters did not difler significantly Conclution The Introduction of Medicald managed care with multiple commercial plans can have significant megative effects on nongrofit commu nity clinics.

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